Hydro-distension Assisted Dissection of the Distal Pouch in PSARP: A Novel Technique

Abstract

Posterior sagittal anorectoplasty (PSARP) is the standard treatment of high and intermediate anorectal malformations (ARM). Meticulous identification and preservation of structures and their proper anatomical reconstruction are essential principles to obtain optimal results. Whilst there have been studies to help identify the recto-urethral fistulae itself, through endoscopic or radiologic means, a technique to identify the rectal pouch and to make dissection easier has seldom been described. The aim of this report is to present a technical detail that may be employed during staged PSARP operations. The distal pouch is hydro-distended with dilute Povidone iodine through the previous stoma that makes the identification and dissection of the pouch easier and safer.

Keywords: Anorectal malformation (ARM), distal pouch, posterior sagittal anorectoplasty (PSARP), Povidone iodine, recto-urethral fistulae

Cite this Article

Prathap Somnath, Sarath Kumar Narayanan, Arun Mohanan. Hydro-distension Assisted Dissection of the Distal Pouch in PSARP: A Novel Technique. Research & Reviews Journal of Surgery. 2019; 8(3): 1–3p.